NCT04511221

Brief Summary

The BacterioPHAGE for Gastrointestinal Health-2 study is designed to determine if a commercial bacteriophage product can increase the survival and efficacy of probiotic bacteria that will be concurrently administered. Bacteriophages may act as prebiotics, which are traditionally defined as indigestible dietary components that selectively enhance specific bacterial species in the intestines to confer a health benefit. In this study, the "prebiotic" is a unique combination of bacteriophages, or viruses that infect bacteria. These phages are generally regarded as safe for human consumption and are presumed to function by infecting pro-inflammatory E. coli strains in the gut. The removal of these strains alters the gut environment to allow growth of more favorable bacteria, and the lysis products of these E. coli may be assimilated by beneficial species to enhance their populations.The phage product, PreforPro, has shown to be effective in culture-based and animal studies, but its efficacy in increasing specific probiotic species has not been demonstrated in humans. The investigators have previously shown that PreforPro is both safe and tolerable in a human population and does not broadly disrupt the gut microbiota as would be seen with antibiotic treatment.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
93

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Oct 2018

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

October 1, 2018

Completed
1.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 31, 2019

Completed
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

March 31, 2020

Completed
4 months until next milestone

First Submitted

Initial submission to the registry

August 7, 2020

Completed
6 days until next milestone

First Posted

Study publicly available on registry

August 13, 2020

Completed
Last Updated

August 13, 2020

Status Verified

August 1, 2020

Enrollment Period

1.1 years

First QC Date

August 7, 2020

Last Update Submit

August 10, 2020

Conditions

Keywords

gastrointestinalprobioticbacteriophageBifidobacterium animalis subspecies lactis

Outcome Measures

Primary Outcomes (3)

  • Gastrointestinal Symptoms

    A functional gastrointestinal questionnaire was used to assess pain and symptoms related to GI function, GI inflammation, Colon and small intestine pain

    Four weeks

  • Bowel Function

    A record of all stools (using Bristol Stool Scale) was collected throughout the study

    Four weeks

  • Microbiota Analysis

    16s sequencing and phage plating was conducted to assess phage activity and microbiota associated changes.

    Four weeks

Secondary Outcomes (4)

  • Blood pressure

    Four weeks

  • Endothelial Function

    Four Weeks

  • Plasma Lipids

    Four weeks

  • Comprehensive Metabolic Panel

    Four weeks

Study Arms (3)

Placebo

PLACEBO COMPARATOR

15 mg capsule containing rice maltodextrin and medium chain coconut triglycerides

Other: Placebo

Bifidobacterium animals subsp. lactis BL04

ACTIVE COMPARATOR

15 mg capsule containing 1x 10\^9 CFU Bifidobacterium animals subsp. lactis BL04 with rice maltodextrin and medium chain coconut triglycerides as a filler material

Dietary Supplement: Bifidobacterium animals subsp. lactis BL04

Bifidobacterium animals subsp. lactis BL04+PreforPro

EXPERIMENTAL

15 mg capsule containing 1x 10\^9 CFU Bifidobacterium animals subsp. lactis BL04 and 1x10\^6 PFU of PreforPro (Commercial phage preparation) with rice maltodextrin and medium chain coconut triglycerides as a filler material

Dietary Supplement: Bifidobacterium animals subsp. lactis BL04+PreforPro

Interventions

One 15mg capsule taken orally each day

Bifidobacterium animals subsp. lactis BL04+PreforPro

One 15mg capsule taken orally each day

Bifidobacterium animals subsp. lactis BL04
PlaceboOTHER

One 15mg capsule taken orally each day

Placebo

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • healthy
  • years old
  • BMI 20 to 34.9

You may not qualify if:

  • individuals less than 18 years of age or greater than 65 years of age
  • outside of the BMI range of 20-34.9
  • antibiotic or probiotic/prebiotic supplements within two months of the start of treatment
  • use of statins, metformin, NSAIDs, MAO inhibitors, and botanical supplements that target the GI tract or gut microbiota
  • current diagnosis of cancer, liver or kidney disease, gastrointestinal diseases, and metabolic disorders
  • pregnant and breastfeeding women
  • unable to adhere to the study requirements

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Colorado State University

Fort Collins, Colorado, 80523-1571, United States

Location

Study Officials

  • Tiffany L Weir, PhD

    Colorado State University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
Masking Details
Treatment capsules are provided by Deerland Enzymes in coded packaging. Participants, investigators, and data assessors will not be provided the key to the codes. Once all data is entered and analyzed, the keys will be provided by Deerland.
Purpose
OTHER
Intervention Model
PARALLEL
Model Details: Randomized, double-blinded, placebo controlled, parallel arm
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associate Professor of Food Science and Human Nutrition

Study Record Dates

First Submitted

August 7, 2020

First Posted

August 13, 2020

Study Start

October 1, 2018

Primary Completion

October 31, 2019

Study Completion

March 31, 2020

Last Updated

August 13, 2020

Record last verified: 2020-08

Data Sharing

IPD Sharing
Will not share

Locations